Hafnarstræti 18, 600 Akureyri, first floor of a two-story commercial building. Constructed in 1965, concrete structure. Main entrance on the street, no security features. Street parking available. Current conditions: 8°C, overcast, good visibility. GPS coordinates: 65.6817° N, 18.0894° W. Nearest landmark: Akureyri Art Museum.
55-year-old male, experiencing severe chest pain. Primary symptoms: Crushing chest pain radiating to the left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, lightheadedness. Patient is conscious but anxious. Skin pale and clammy. Patient is sitting on a chair in his office. Medical history: Hypertension, hyperlipidemia, smoker. Medications: Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1330 hours: Patient started experiencing mild chest discomfort 1340 hours: Chest pain intensified, radiating to left arm 1345 hours: Patient became diaphoretic and nauseous 1348 hours: Patient called emergency services 1350 hours: Current time, patient is still in office, sitting on a chair, experiencing severe chest pain. Prior Events: Patient reports occasional chest discomfort in the past few months, attributed to indigestion. No prior history of heart attack or angina. Smokes approximately 10 cigarettes per day. Last medical check-up 6 months ago, routine follow-up.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) Justification for F2 Classification: - High probability of cardiac event based on classic symptoms (chest pain, radiation, diaphoresis) - Time-sensitive condition requiring prompt medical evaluation and intervention - Potential for rapid deterioration into a life-threatening situation Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (lower probability, no reported tearing pain) 4. Pulmonary Embolism (lower probability, no reported hemoptysis) 5. Gastroesophageal Reflux (less likely given severity and radiation of pain) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Oxygen administration - Administration of aspirin and nitroglycerin (if no contraindications) - Preparation for transport to nearest hospital with cardiac catheterization capabilities